Individual
MRS. STEPHANIE BAUGUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2383 PATE ST N, SNELLVILLE, GA 30078-3250
(770) 972-4845
Mailing address
2365 FLINT CREEK DR, CUMMING, GA 30041-6345
(678) 488-3223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11813
GA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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